| NPI | 1730312240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101022024) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0102203641) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2023-09-01 |